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Friday Training Director’s Lectures

Introduction: Each Friday at 8:00 AM (8-9AM and 8-10AM depending on the topic) the Training Director will provide a lecture which covers selected topics which relate to the program goals of training rural psychologists, practicing in a rural licensed/certified healthcare facility, and functioning as a clinical community asset (rural clinical psychologist). While we have 52 weeks of planned topics relevant to professional growth and set in a sequence which fosters the progression through rotations and programmatic content, the Training Director and faculty reserve the right to alter the schedule to address student body needs which have emerged in training. We do so quite frequently based on the previous level of training of interns and residents, their areas of remediation or training needs, and related to changes in the field or the needs and requests of the QI department or certifying bodies.

The process generally includes lecture with slides, handouts, written exercises, and occasional written exams to ensure that students are doing their assigned reading, have mastered state and federal program rules and guidelines, and are learning to practice as a professional in a rural healthcare facility. The Training Director reserves the right to give the written exams before or after the lectures, and remediation assignments.

Many of the training lectures and exercises, and the Saturday didactics have been transferred to Blackboard Internet based platform courses accessible to the student 24 hours per day and 7 days per week. At the request of students, who prefer these courses for didactics (and who value their Saturday’s off), we have moved a great many of our didactic trainings to this modality. The modality is complete with lecture notes, slides, links to ancillary and support information, quizzes, discussion boards, and direct Email links for questions.

During the Training Director’s absence for vacation or external presentations he may delegate the lecture to the Assistant Training Director or a post doctoral resident who is presenting graded training with a faculty moderator.

If you have successfully competed for a CMHC, Inc. training slot (intern or resident), you may go to the training program section of this web site and find the required texts which most of the lecture material in this section reference. Some top students start their reading prior to beginning their internship or residency.

Lecture Schedule:

September

The Clinical Training Notebook at CMHC, Inc. An overview of the chapters of the clinical training notebook, responsibilities for its completion and acceptance prior to graduation, supervision and assignment documentation, and the revision and faculty approval process. Handouts are supplied by faculty. Reading Assignment: Chapter 37 of the Revised Missouri Statutes and related rule and regulation (the Training Director will supply web address).
Missouri Psychology Practice Act and Rule & Regulation: A review of the Missouri practice act and rule as it pertains to training, supervision, documentation, supervisor direct order and control, and how CMHC, Inc. meets these obligations.
Introduction to the CMHC, Inc. library and computer research equipment. A review of accessing the internet, accessing APA and Psych Abstracts and Full Text Article Downloads, access to other data bases, the SPSS statistical package, and research teams and opportunities at CMHC, Inc. Reading Assignment: Access APA Web Site and get copy of APA Ethics or get copy in our library and read.
APA and Related Discipline Ethics. A review of practice ethics of psychologists and the multidisciplinary team and how CMHC, Inc. articulates these ethics in our programs, policies and procedures, grievance procedures and remedies, consultation, and philosophical under pinnings to ethics and morality.
Federal 7 State Documentation Standards for specific programs. A review of federal and derivative state documentation standards, fraud and abuse statute and standards, auditing guidelines and procedures, and how the practitioner can protect his/herself. There is a specific review of the Medicaid and Medicare Programs, SATOP Programs, CSTAR Programs, and the requirements of insurers.
The CMHC, Inc. Developmental Diagnostic System. Dr. Morris will present the major diagnostic categories and global descriptors of stages of normal development which are not traversed by the mentally ill.
The Structured Admission Assessment. Dr. Morris will cover the CMHC, Inc. ISAP which includes the SCL98, the ASI, comprehensive individual and family history, gross medical screen and history, the Prochasta & DeClemente Readiness for Change Scales, treatment history, mental status examination, and patient consent forms and admitting orders. . Reading Assignment: Chapter 1 in Practicing Psychology in Rural Settings. Each student will complete supervised observation of 5 admissions (2-3 hours each) with their supervisor and team, and will then have at least 48 co-admissions with a supervisor during the year. These admission assessments will include individual diagnosis, treatment history taking, mental status examination, completion of standardized empirically validated screens, initial treatment plan development and professional orders, informed consent and patient contracting, and coordination with the team.
History of Rural Practice. A review of the underpinnings of rural psychology in community psychology, rural psychology defined, the generalist clinical psychologist model outlined, the relationships of rotations and case management in the multidisciplinary team treatment model explored, and reading assignments made (Chapter 1 in Practicing Psychology in Rural Settings).
Hospital Practice in the Rural Setting: The history of rural hospital psychology reviewed. Reading assignment: Chapter 2 in Practicing Psychology in Rural Settings.
Medical or Professional Staff Membership and Participation in Rural Hospitals. A review of the credentialing process and relevant hospital practice rules and regulations. Reading assignment: Chapter 3 in Practicing Psychology in Rural Settings.
Psychology’s Contribution to the Hospital During the Industrialization of Health Care. A review of emerging trends which affect hospital practice of psychology. Reading assignment: Chapter 4 in Practicing Psychology in Rural Settings.
Collaboration With Primary Care Physicians. A review of issues related to psychologist/physician teamwork. Reading Assignment: Chapter 5 in Practicing Psychology in Rural Settings.
Collaboration With Community Mental Health Centers. A review of the rural psychologist and collaborative practice with state and federally funded community mental health facilities. Reading Assignment: Chapter 6 in Practicing Psychology in Rural Settings.
The Rural Psychologist in the Hospital Emergency Room. A review of the rural psychologist and the hospital emergency service. . Reading Assignment: Chapter 7 in Practicing Psychology in Rural Settings.
Clinical Neuropsychology in the Rural Setting. A review of neuropsychological diagnosis and consulting practice in rural communities. . Reading Assignment: Chapter 8 in Practicing Psychology in Rural Settings.
Wellness of Women: Implications for the Rural Health Care Provider. A review of special issues of women’s health relative to rural psychology practice. . Reading Assignment: Chapter 9 in Practicing Psychology in Rural Settings.
Rural Hospital Addictions Screening and Treatment. A review of rural practice issue related to the treatment of addictions. Reading Assignment: Chapter 11 in Impact of Managed Care on Psychodynamic Treatment.
The History of Managed Care and Its Impact on Psychodynamic Treatment. A review of the emergence of Managed Care, its targeting of psychotherapy and attempts to shift the field to counseling approaches, and the federal government’s role in the model’s design and roll out. Reading Assignment: Chapter 3 in Imp-act of Managed Care on Psychodynamic Treatment.
Impact of Managed Care on the Therapeutic Relationship. A review of the difference between counseling and psychotherapy and the impact of payer sources on the formation and maintenance of the therapeutic alliance. Reading Assignment: Chapter 12 in Impact of Managed Care on Psychodynamic Treatment.
Ethics, Psychodynamic Treatment, and Managed Care. A review of ethical dilemmas in payer prescribed treatment. Reading Assignment: Chapter 13 in Impact of Managed Care on Psychodynamic Treatment.
Legal Issues for Psychotherapy in a Managed Care Environment. A review of risk management and legal issues related to payer prescribed treatment. Reading Assignment: Chapter 6 in Family Psychopathology.
Psychopathology and the Marital Dyad. A review of the marital subsystem and its contribution to diagnosis and treatment. Reading Assignment: Chapter 7 in Family Psychopathology.
Parenting Styles and Psychopathology. A review of the contribution of parenting styles to systems diagnosis and treatment. Reading Assignment: Chapter 8 in Family Psychopathology.
Intergenerational Relationships in Modern Families. A review of the contribution of multigenerational projection processes to systems diagnosis and treatment. Reading Assignment: Chapter 9 in Family Psychopathology.
Comprehensive Assessment of Family Functioning. A review of the family systems assessment process. Reading Assignment: Chapter 10 in Family Psychopathology.
Destructive Parentification in Families: Causes and Consequences. A review of problems of role diffusion, excessive subsystem permeability, and parenting style. Reading Assignment: Chapter 11 in Family Psychopathology.
Marital Processes and Depression. A review of how marital styles affect depression etiology and treatment. Reading Assignment: Chapter 12 in Family Psychopathology.
Schizophrenia and the Family. A review of the treatment of schizophrenia and SMI through family systems approaches. Reading Assignment: Chapter 15 in Family Psychopathology.
Substance Abuse and Dependence if Families. A review of the treatment of addictions in families. Reading Assignment: Chapter 14 in Family Psychopathology.
Family Roots of Aggression and Violence. A review of systems approaches to violence. Reading Assignment: Training Director will provide handouts.
Family Diagnostic Systems and APA Division 43. A review of the history of Div 43’s involvement in the development of family diagnostic systems and a review of the resultant work product. Reading Assignment: Chapter 15 in Integrating Family Therapy.
Dynamics of Divorce Therapy. A review of the theory and practice of assisting couples divorcing. Reading Assignment: Chapter 10 in Integrating Family Therapy.
The Evolution of Family-Based Psychopathology. A review of the emergence and refinement of family developmental psychology. Reading Assignment: Chapter 11 in Voices in Family Therapy Vol. 2.
Depressed Children and Their Families. A review of a truly integrative approach of systems therapy for depressed children and their families which is timeless and views the child as the symptom bared to resolve classical problems of depressed families. Reading Assignment: Chapter 14 in Voices in Family Therapy Vol. 2..
Toward a Systemic Resolution of the Battle of the Sexes. A feminist perspective on what men lack and wish for in themselves, relationships, and the therapist. Reading Assignment: Projective Geneograms, Kaslow, Training Director will provide handouts.
Projective Geneograms. A review of Kaslow’s manual on projective geneogram methodology. Reading Assignment: Selected chapters from Geneograms by Shellenberger, Training Director will provide handouts.
Geneograms. A review of the Geneogram as an assessment and treatment planning process. Chapter 7 in Integrating Family Therapy.
Systems-Oriented Therapy With Stepfamilies. A review of approaches to conceptualizing and treating blended and blending families. Reading Assignment: Morris & Wise ongoing developmental marital dyad research handout.
Concomitant Spousal Psychopathology in Substance Abusers. A review of the findings of an ongoing multiyear analysis of co varying developmental levels within the spousal dyads in substance abusing households using a Bowen differentiation of self model. Reading Assignment: Chapter 12 in Family Therapy in Clinical Practice.
Alcoholism & The Family. A review of the classic Bowen chapter on alcoholism and the family. Reading Assignment: Chapter 30 in Integrating Family Therapy.
Family Treatment of Alcohol and Drug Abuse. A review of systems approaches to the treatment of addictions. Reading Assignment: Chapter 28 in Integrating Family Therapy.
Domestic Violence and Sexual Abuse: Multiple Systems Perspectives. A review of systems approaches to the treatment of domestic violence and sexual abuse. Reading Assignment: Chapter 28 in Treatments That Work.
Psychopharmacological Treatments of Character Disorders. A review of the medications that have shown some utility in the treatment of character disorders. Reading Assignment: Chapter 27 in Treatments That Work.
Psychosocial Treatments for Personality Disorders. A review of the ecological approaches to the treatment of character disorders. Reading Assignment: Chapter 11 in Treatments That Work.
Psychosocial Treatments for Major Depression. A review of the psychosocial methods of treating major depression. Reading Assignment: Chapter 12 in Treatments That Work.
Psychosocial Treatment for Bipolar Disorder. A review of the research and methods of treating Bipolar Disorder. Reading Assignment: Chapter 6 in Treatments That Work.
Psychopharmacological Treatments of Substance Use Disorders. A review of medications that are helpful adjuncts to treating aspects of addictions and substance use disorders. Reading Assignment: Chapter 7 in Treatments That Work.
Psychosocial Treatments for Alcohol Use Disorders. A review of the research and techniques useful in the treatment of alcoholism and alcohol use disorders. Reading Assignment: Chapter 9 in Treatments That Work.
Psychosocial Treatments for Schizophrenia. A review of the research and supported techniques useful in the treatment of schizophrenia. Reading Assignment: Chapter 4 in Treatments That Work.
Psychosocial Treatments for Conduct Disorder. A review of the research and supported techniques useful in the treatment of childhood conduct disorder. Reading Assignment: Chapter 2 in Treatments That Work.
Childhood Attention Deficit Hyperactivity Disorder: Nonpharmacological and Combination Treatments. A review of the research and supported techniques useful in the treatment of childhood conduct disorder. Reading Assignment: Training Director’s handouts on the treatment of serious and persistent mental illness.

52. Treatment of Serious & Persistent Mental Illness. A review of the literature and treatment techniques emphasizing multipathway etiology, integrated technique

and interventions, long-term psychotherapy, medications, family therapy and education,

and case management.

CMHC, Inc. Motto: Genetics and neurohormones are not a life sentence even if lab technicians think so!